Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP 2015 00087 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JEFFREY DEMETS (608) 798-1934 MEIGS INC (608) 767-2729 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3072 NIESEN ST 1527 HIGHWAY 14PO BOX 412 <br /> (City,State,Zip) (City,State,Zip) <br /> CROSS PLAINS, WI 53528 BLACK EARTH, WI 53515 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> MITM19 @GMAIL.COM DAVE @MEIGSBUILDS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0706-251-9820-1 TOWN OF VERMONT 25 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignmentofnewaddressis 9511 W MINERAL POINT RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: CENSUS CODE <br /> A-1 Ex Exclusive Ag 3.7 Description:RESIDENTIAL MACHINE EQUIPMENT STORAGE 438-Garage <br /> District SHED <br /> Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO ® YES ❑ NO ❑ YES ® NO S tit 20(14 co 01, l 2,D14046 l <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 23.5 ,7 Sq.Ft. Sq.Ft.4320 4320 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $80,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $374.00 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be <br /> difficult to identify. Failure to comply may result in removal or modification of construction that violates <br /> the law or other penalties or costs. For more information, visit the Department of Natural Resources web <br /> page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zonint or,inances. <br /> Owner&Agent hereby agree to comply with all Dane County SIG 'ATU-E: 0 n n / DAT E/: <br /> 7 <br /> Ordinances.Any unauthorized change from the information o 4 3 r�//S� <br /> plans submitted will invalidate the permit. / / <br /> OFFICE USt ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> YES ® NO 03/10/2015 SJW3 <br /> /V//�� DATE REVIEW^ED.{� ` INITIALS 2nd INSPECTION DATE INITIALS <br /> initials: v"1 \ <br />